Registration Paperwork Instructions

Pre-registration allow us to validate your demographic and insurance more quickly during your visit. This saves you time in the waiting room and helps us move your appointment along more quickly!

On the day that you arrive, we will simply ask you for a copy of your insurance card and the registration paperwork (available online by clicking the "Pre-Registration Forms" link below).

For your convenience, we encourage you to print, complete, and sign the attached forms to bring with you on the day of your appointment.

TO SAVE ADDITIONAL TIME AND FULLY PRE-REGISTER, please FAX your paperwork and a copy of your insurance card and driver's license to 860-685-8944 at least 2 days prior to your appointment. You may also scan and email it to: registration@middlesexortho.com

If its less than 24 hours before your appointment: To prevent any delay before your visit, please bring your registration paperwork with you instead of emailing or faxing it; our office needs 24 hours to process registrations that are faxed/emailed.

Access our pre-registration forms here:

Fill out online
or download Pre-Registration Forms
If you do not have Adobe Acrobat reader installed on your computer, you can download it here:

Please remember to also bring the following items on the day of your appointment:

Physician Order(s)
Insurance Card(s)
Any written order(s) from your primary care physician
X-Rays/ MRIs (on film or on CD)

NOTE: Many insurance companies do require pre-certification and/or a referral from your primary care physician prior to services. Middlesex Orthopedic Surgeons strongly encourages each patient to contact their insurance company to verify that all necessary pre-certifications and referrals have been completed prior to their visit. Failure to obtain pre-certification, physical referral or pre-authorization may result in a lower reimbursement or denial of benefits by the insurance company.

For more information and/or assistance, please contact us at 860-685-8940